| NPI | 1982910253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L HAYDEN Sole Member/Owner 812-477-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology (Licence: IN 01043538) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-03-27 |